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Posts Tagged ‘gestational diabetes’

What Types of Diabetes Exist?

• Type 1 Diabetes: results from the destruction of cells in the pancreas that produce insulin (beta cells) that predisposes to a severe metabolic imbalance called diabetic ketoacidosis. It is more typical in young people (below 30 years).

• Type 2 Diebetes: Characterized by insulin resistance that can be associated or not with insulin deficiency and can be present with few symptoms for a long time. This form is more common in people over 40 years but is becoming more frequent to appear in younger subjects.

• Gestational Diabetes: diabetes whose onset is recognized during pregnancy. Women who suffer from it should be studied after birth because diabetes may or may not persist after. Read the rest of this entry »

Tracking

Once the diagnosis of GDM, the patient is monitored every 2 weeks in the outpatient department of our hospital by determining blood glucose levels in both fasting and 2 hours after meals, as it has been shown that this last the main cause of fetal complications, and at each visit are recorded data such as blood pressure, weight gain, addiction to food management etc.

All patients are invited to join the Self Help Group and Self-control of diabetes in pregnancy, in addition to being an educational program, we can in the form of interactive workshops to influence the technical implementation of insulin, emotional factors, medical or other practices which are negatively involved in achieving optimal control necessary during pregnancy, as well as serve as a vehicle of integration into the patient’s family and others who are going through the same situation. Read the rest of this entry »

The test is considered positive for the diagnosis of GDM when more than 2 high values according to the following criteria:

Fasting: 95 mg/dl.

1 hr: 180 mg/dl.

2 hr: 155 mg/dl.

3 hr: 140 mg/dl.

This test should also be performed when fasting glucose levels exceed normal limits for pregnancy but not be diagnostic for diabetes, ie over 105 mg/dl and below 126 mg/dl.

Another way to make the diagnosis of GDM is when:

° is 2 fasting glucose levels on 2 different days separated by at least 48 hrs between feeds with values equal to or greater than 126 mg / dl.

• 1 figure greater than 200mg, no matter what time of day, with or without symptoms. Read the rest of this entry »

Definition

Gestational Diabetes is defined as carbohydrate intolerance that begins or is first detected during pregnancy, regardless of gestational age or persisting after it. As in other forms of hyperglycemia (high blood glucose), there is an alteration in the function of insulin-producing cells in the pancreas (beta), which prevent this hormone is produced or released in sufficient quantity or preventing its function properly, we call this resistance to the action of insulin.

The DMG is found in people with risk factors for developing type 2 diabetes mellitus has been considered as a state prior to further development of the disease in a few years after pregnancy, regardless of having normal blood glucose levels immediately at the end of it. Read the rest of this entry »